Secured strand end devices

ABSTRACT

A woven, self-expanding stent device has one or more strands and is configured for insertion into an anatomical structure. The device includes a coupling structure secured to two different strand end portions that are substantially aligned with each other. The two different strand end portions include nickel and titanium. The coupling structure is not a strand of the device.

CROSS-REFERENCE(S) TO RELATED APPLICATION(S)

This application is a continuation of U.S. application Ser. No.15/229,844, filed Aug. 5, 2016, which is a continuation of U.S.application Ser. No. 15/001,117, now U.S. Pat. No. 9,408,730, filed Jan.19, 2016, which is a continuation of U.S. application Ser. No.14/601,152, now U.S. Pat. No. 9,408,729, filed Jan. 20, 2015, which is adivisional of U.S. application Ser. No. 14/289,519, now U.S. Pat. No.8,966,733, which was filed May 28, 2014, which is a continuation of Ser.No. 14/260,213, now U.S. Pat. No. 9,149,374, which was filed Apr. 23,2014, which is a divisional of U.S. application Ser. No. 13/549,334, nowU.S. Pat. No. 8,739,382, which was filed Jul. 13, 2012, which is acontinuation of U.S. patent application Ser. No. 11/876,666, which wasfiled on Oct. 22, 2007, which claims priority benefit of U.S.Provisional Application App. Ser. No. 60/862,456, filed Oct. 22, 2006,all of which applications are hereby incorporated by reference in theirentirety.

BACKGROUND

1. Field

The present invention relates generally techniques and structures forsecuring the ends of strands, such as wires, of devices suited forplacement in anatomical structures, and the resulting devices. Examplesof such devices include woven, self-expanding stents.

2. Description of Related Art

Examples of devices suitable for insertion into an anatomical structurethat are created from one or more strands are found in U.S. Pat. Nos.6,007,574; 6,419,694; and 7,018,401; and in U.S. Patent ApplicationPublication Nos. US 2005/0049682 and US 2006/0116752, all of which areincorporated by reference.

SUMMARY OF THE INVENTION

Some embodiments of the present methods include securing a couplingstructure to a first strand end portion of a device configured forinsertion into an anatomical structure; and securing the couplingstructure to a second strand end portion of the device; where the firstand second strand end portions are substantially aligned, the couplingstructure is not a strand of the device, and the device includes one ormore strands that include nickel and titanium. In some embodiments, thelength of the coupling structure is less than 25, 24, 23, 22, 21, 20,19, 18, 17, 16, 15, 14, 13, 12, 11, 10, 9, 8, 7, 6, 5, 4, 3, 2, 1, 0.9,0.8, 0.7, 0.6, 0.5, 0.4, 0.3, 0.2, or 0.1 percent of the length of thedevice; this may be true for each coupling structure that is used. Thecoupling structure may be configured such that it has a passagewaybefore it is secured to the first and second strand portions, and it maybe placed into direct contact with the first and second strand endportions prior to the securing. The device may be a stent (e.g., a stentwoven from multiple strands), or any other medical device suited for usein treating a patient, such as a filter or an occluder. The device maybe self-expanding. The device may have two or more device ends (such asthe two ends of a straight stent or the three ends of a bifurcatedstent), and each device end may be characterized by or defined by strandbends, where the strand bends of a given device end are similar (e.g.,substantially similar) in shape to at least each other and in someinstances to all of the strand bends of all the device ends, such thatone device end looks very similar to the other device end or deviceends. The number of coupling structures that are used may correspond tothe number of strands (e.g., wires) that are used to create the device,and they may be positioned in axial alignment (parallel to thelongitudinal axis of the device) or they may be axially offset from eachother and positioned around the circumference of the device. Thesecuring may be accomplished by welding (e.g., laser welding) thecoupling structure to the first strand end portion to create a firstwelded region and by welding the coupling structure to the second strandend portion to create a second welded region. The two welded regions maybe separated from each and unconnected by any other welded region. Thetwo strand end portions directly touch each other in some embodiments,and in other embodiments are not in direct contact with each other. Thestrand end portions may be substantially aligned with each other(end-to-end), or they may be positioned in side-by-side relationship(which may be characterized as overlapping). In some embodiments, thecoupling structure is a piece of material that is separate from thefirst strand end portion and from the second strand end portion and,when a weld is used to accomplish the securing, is placed into directcontact with both strand end portions before the welding begins. In someembodiments, some or all of the securing steps result in a given half ofa given strand being secured to either (a) only one other strand or (b)only the other half of the same strand. In some embodiments, thecoupling structure is positioned beneath a strand that crosses over it.In some embodiments, all coupling structures that are used arepositioned in this same fashion. In some embodiments, neither thecoupling structure nor the strand end portions to which it is securedundergo a smoothing step after the securing is complete. In someembodiments where the device is woven from multiple strands such thatstrand crossings are created defining obtuse angles that increase whenthe device is axially compressed from an unconstrained state, eachdevice opening (other than the openings that border the longitudinalpassageway or passageways of the device) is defined by at least threestrand crossings, where each strand crossing is defined by two crossedstrand portions. In some embodiments, the coupling structure positionednearest to a particular end of the device (a “device end”) is spacedapart from all device ends (even at the portion of the couplingstructure nearest the device end in question) by at least one strandcrossing (in some embodiments, by at least two strand crossings; in someembodiments, by at least three strand crossings; in some embodiments, byat least four strand crossing; in some embodiments, by at least fivestrand crossings) in a direction (e.g., along a line) that issubstantially parallel with a longitudinal axis of the device.

Some embodiments of the present methods include welding a couplingstructure to a first strand end portion of a device configured forinsertion into an anatomical structure; and welding the couplingstructure to a second strand end portion of the device; where thecoupling structure is not a strand of the device, and the deviceincludes one or more strands that include nickel and titanium.

The present devices may have one or more strands and be configured forinsertion into an anatomical structure. In some embodiments, the presentdevices include a coupling structure secured to two different strand endportions that are substantially aligned with each other; where the twodifferent strand end portion includes nickel and titanium, and thecoupling structure is not a strand of the device. In some embodiments,the present devices include a coupling structure welded to two differentstrand end portions; where the two different strand end portion includesnickel and titanium, and the coupling structure is not a strand of thedevice. The device may be a stent, or any other medical device suitedfor use in treating a patient, such as a filter or an occluder. Thenumber of coupling structures that are used may correspond to the numberof strands (e.g., wires) the device has, and they may be positioned inaxial alignment (parallel to the longitudinal axis of the woven device)or they may be axially offset from each other and positioned around thecircumference of the device. The strand end portions in each pair thatare secured with (e.g., welded to) a given coupling structure may besubstantially aligned with each other or they may be placed inside-by-side relationship with each other (which may be characterized asoverlapping). In some embodiments, the length of the coupling structureis less than 25, 24, 23, 22, 21, 20, 19, 18, 17, 16, 15, 14, 13, 12, 11,10, 9, 8, 7, 6, 5, 4, 3, 2, 1, 0.9, 0.8, 0.7, 0.6, 0.5, 0.4, 0.3, 0.2,or 0.1 percent of the length of the device; this may be true for eachcoupling structure that is used. The coupling structure may beconfigured such that it has a passageway before it is secured to thefirst and second strand portions, and it may be placed into directcontact with the first and second strand end portions prior to beingsecured (e.g., welded). The device may be a stent (e.g., a stent wovenfrom multiple strands), or any other medical device suited for use intreating a patient, such as a filter or an occluder. The device may beself-expanding. The device may have two or more device ends (such as thetwo ends of a straight stent or the three ends of a bifurcated stent),and each device end may be characterized by or defined by strand bends,where the strand bends of a given device end are similar (e.g.,substantially similar) in shape to at least each other and in someinstances to all of the strand bends of all the device ends, such thatone device end looks very similar to the other device end or deviceends. The number of coupling structures that are used may correspond tothe number of strands (e.g., wires) that are used to create the device,and they may be positioned in axial alignment (parallel to thelongitudinal axis of the device) or they may be axially offset from eachother and positioned around the circumference of the device. Thecoupling structure may be secured to the first strand end portion by aweld that forms a first welded region, the coupling structure is securedto the second strand end portion by a weld that forms a second weldedregion, and the first and second welded regions are not directlyconnected to each other by another welded region. The two welded regionsmay be separated from each and unconnected by any other welded region.The two strand end portions directly touch each other in someembodiments, and in other embodiments are not in direct contact witheach other. In some embodiments, the coupling structure is a piece ofmaterial that is separate from the first strand end portion and from thesecond strand end portion and, when a weld is used to secure thecoupling structure to those strand end portions, is placed into directcontact with both strand end portions before the welding begins. In someembodiments, a given half of a given strand of the device is secured toeither (a) only one other strand or (b) only the other half of the samestrand. In some embodiments, the coupling structure is positionedbeneath a strand that crosses over it. In some embodiments, all couplingstructures that are used are positioned in this same fashion. In someembodiments, neither the coupling structure nor the strand end portionsto which it is secured require smoothing after being secured. In someembodiments where the device is woven from multiple strands such thatstrand crossings are created defining obtuse angles that increase whenthe device is axially compressed from an unconstrained state, eachdevice opening (other than the openings that border the longitudinalpassageway or passageways of the device) is defined by at least threestrand crossings, where each strand crossing is defined by two crossedstrand portions. In some embodiments, the coupling structure positionednearest to a particular end of the device (a “device end”) is spacedapart from all device ends (even at the portion of the couplingstructure nearest the device end in question) by at least one strandcrossing (in some embodiments, by at least two strand crossings; in someembodiments, by at least three strand crossings; in some embodiments, byat least four strand crossing; in some embodiments, by at least fivestrand crossings) in a direction (e.g., along a line) that issubstantially parallel with a longitudinal axis of the device.

Details associated with these embodiments and others are provided below.

BRIEF DESCRIPTION OF THE DRAWINGS

The following drawings illustrate by way of example and not limitation.Identical reference numerals do not necessarily indicate an identicalstructure. Rather, the same reference numeral may be used to indicate asimilar feature or a feature with similar functionality. Not everyfeature of each embodiment is labeled in every figure in which thatembodiment appears, in order to keep the figures clear.

FIG. 1 shows an example of a portion of a device that is beingconfigured for insertion into an anatomical structure, and at a stage ofcreation where free strand ends are positioned at one end of the device.There is a hook depicted in the top, central portion of the figure thatis holding the device to an underlying surface. The hook is not part ofthe device.

FIG. 2 shows an example of a portion of a device that is beingconfigured for insertion into an anatomical structure, and at a stage ofcreation where half the free strand ends have been backbraided and theother half remain at one end of the device.

FIG. 3 shows an example of a portion of a device after the weavingreflected in FIG. 1 and the backbraiding reflected in FIG. 2 and thatincludes coupling structures equal in number to the strands used tocreate it. Specifically, one coupling structure has been laser welded toeach of six different pairs of substantially-aligned strand end portionsof the device (for a total of six coupling structures).

FIGS. 4A and 4B show examples of portions of other devices similar tothe one shown in FIG. 3.

FIG. 5 shows the configuration of the device ends (and the similarity ofthe strand bends that define them) of a device similar to the one shownin FIGS. 3 and 4.

FIG. 6 shows an example of a portion of a device having couplingstructures that are axially-aligned and that secure two strand endportions each in overlapping relationship.

FIG. 7 shows an example of a portion of a device having couplingstructures that are axially-aligned and that secure twosubstantially-aligned strand end portions each.

FIG. 8 shows an example of a portion of a device similar to the oneshown in FIG. 6, except that adjacent coupling structures are spacedapart from each other around the circumference of the device. Two of thecoupling structures that are farthest from the viewer are labeled.

FIG. 9 shows an example of a portion of a device similar to the oneshown in FIG. 7, except that adjacent coupling structures are spacedapart from each other around the circumference of the device.

FIG. 10A depicts one coupling structure secured to two strand endportions that are substantially aligned.

FIG. 10B depicts one coupling structure secured to two strand endportions that overlap with each other.

FIG. 10C depicts another embodiment of a coupling structure that issecured to two strand end portions that are substantially aligned.

FIGS. 11A and 11B are schematic representations showing differentexample arrangements of coupling structures for a device such as a wovenstent.

FIG. 12 shows an example of a laser welding system that can be used tocreate the devices shown in FIGS. 2-9.

FIG. 13 is a table providing example inner diameter, outer diameter andlength dimensions of nitinol coupling structures that can be used for agiven diameter nitinol wire size of a given size of six-strand wovenstent, and further provides example settings for the LASAG weldingsystem identified below (scfh stands for cubic feet per hour understandard conditions).

FIG. 14A is a detail view showing certain dimensions of a welded regioncreated by a weld that secures the depicted coupling structure to thedepicted strand.

FIG. 14B is a table containing example values for the dimensionsdepicted in FIG. 14A and other aspects of a stent created according tothe present methods.

DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS

The terms “comprise” (and any form of comprise, such as “comprises” and“comprising”), “have” (and any form of have, such as “has” and“having”), “contain” (and any form of contain, such as “contains” and“containing”), and “include” (and any form of include, such as“includes” and “including”) are open-ended linking verbs. As a result, adevice or method that “comprises,” “has,” “contains,” or “includes” oneor more elements possesses those one or more elements, but is notlimited to possessing only those one or more elements or steps.Likewise, an element of a device or a step of a method that “comprises,”“has,” “contains,” or “includes” one or more features possesses thoseone or more features, but is not limited to possessing only those one ormore features. Furthermore, a structure that is configured in a certainway must be configured in at least that way, but also may be configuredin a way or ways that are not specified.

Any embodiment of any of the present methods and devices may consist ofor consist essentially of—rather than comprise/include/contain/have—thedescribed steps and/or features. Thus, and by way of example, while someembodiments of the present methods comprise welding a coupling structureto a first strand end portion of a device configured for insertion intoan anatomical structure; and welding the coupling structure to a secondstrand end portion of the device; where the coupling structure is not astrand of the device, and the device includes one or more strands thatinclude nickel and titanium, other embodiments consist essentially of orconsist of welding a coupling structure to a first strand end portion ofa device configured for insertion into an anatomical structure; andwelding the coupling structure to a second strand end portion of thedevice; where the coupling structure is not a strand of the device, andthe device includes one or more strands that include nickel andtitanium.

The terms “a” and “an” are defined as one or more than one unless thisdisclosure explicitly requires otherwise. The terms “substantially” and“about” are defined as at least close to (and include) a given value orstate (preferably within 10% of, more preferably within 1% of, and mostpreferably within 0.1% of).

The present methods may be used to secure two unsecured strand ends of adevice configured for insertion into an anatomical structure. Theinitial process used to create the device may involve weaving—such asthe weaving techniques disclosed in U.S. Pat. Nos. 6,792,979 and7,048,014, which are incorporated by reference—or any other process thatresults in at least two unsecured strand ends. If weaving is used, onesuitable braiding machine that may be used is the Steeger 24 CarrierHorizontal Fine Wire Carrier Braider HS 140-24-IH manufactured bySteeger USA (Spartanburg, S.C.). The device may be created from one ormore strands, and it may have a variety of configurations, such as stent(e.g., one with two ends or a multi-legged stent with more than twoends), an occluder, or a filter. The strand ends may be secured with acoupling structure that includes a passageway (such as a small tube)into which the strand ends can be inserted from opposite ends and thatis welded (e.g., laser welded) to the strand end portions inserted intoit. However, the coupling structure need not encompass the strand ends,as a small tube does. Instead, in other embodiments, the couplingstructure could comprise a flat strip to which the strand ends arecoupled, or a strip that is contoured, such as a portion of a smalltube. Furthermore, though laser welding is discussed below as apreferred joining technique, other techniques may be used, including(but not limited to) electron beam welding, resistance welding, tungsteninert gas welding, metal inert gas welding, crimping, soldering,braising, and gluing.

The coupling structure may be made from the same materials as the strandend portions to which it is coupled (e.g., a nickel-titanium couplingstructure may be used to couple two nickel-titanium strand end portionstogether), or it may be made from a different material or materials(e.g., a stainless steel coupling structure may be used to couple twonickel-titanium strand end portions together).

In embodiments in which is woven from nickel-titanium wires (nickel—56.0percent by weight of the total composition; titanium—balance of thetotal composition), and the initial weaving is complete, the device(with the mandrel on which it was formed, if desired) can be heattreated according to the information in Table 1 below:

TABLE 1 Stent Diameter Furnace Temperature Setting Heat Treatment Time(mm) (° C.) (minutes) 4.0 525 5 5.0 535 5 6.0 510 10 7.0 520 10 8.0 51013 9.0 520 13 10.0 530 13The device may have free strand ends positioned at some or all of theends of the device when it is heat treated in this fashion. FIG. 1 showsan example of a device (device 100) that has one or more strands and isconfigured for insertion into an anatomical structure. Device 100, whichis a stent, was created woven according to techniques disclosed in U.S.Pat. No. 7,018,401 from six strands (wires) that possess twelve strandhalves 10. There are no free strand ends at the device end of device 100that is not shown. Each half strand was secured (see, e.g., FIG. 3) toonly one other half strand (which either belonged to the same or adifferent strand).

After this heat treatment, the device can be immediately quenched indeionized water until cool. Next, the free strand ends of the device canbe backbraided as desired and then baked according to the information inthe same table and immediately quenched in deionized water until cool.FIG. 2 shows device 100 after half of the twelve loose strand ends havebeen backbraided.

Next, one or more coupling structures (e.g., coupling structures thatinclude nickel and titanium, such as 55.8 percent by weight of the totalcomposition and titanium as the balance of the total composition) may becoupled to strand end portions of the woven device at any desiredlocation along the length of the device. The device may be loaded onto amandrel before the coupling structure(s) are positioned so that theinternal diameter of the device is accurately set. Once the couplingstructures have been positioned as desired, they can be secured to thestrand end portions using any suitable technique, such as laser welding(which is described in more detail below). FIGS. 3-4B show examples ofdevice 100 after coupling structures 20 have each been placed intocontact with a pair of strand end portions and then welded to thosestrand end portions using laser welding as described below. FIG. 5,depicts the two device ends 102 and 104 of a version of device 100created through the weaving, backbraiding, and coupling structuresecuring techniques that produced the devices shown in FIGS. 1-4B and6-9, and shows that device ends 102 and 104 (device end 104 is thedevice end nearest the coupling structures that were used) are eachdefined by strand bends 40 (not all of which are labeled) that all havea substantially similar shape.

As shown in FIGS. 3 and 4A, in some embodiments, the coupling structurenearest to a particular device end (e.g., the right-most couplingstructure 20 shown in these figures) may be spaced apart from thatdevice end by at least one strand crossing or more. In the embodimentshown in these figures, the right-most coupling structure 20 that isdepicted is spaced apart from the depicted device end by at least threestrand crossings (which are designated by a circle marked 30) takenalong a line 40 that is substantially parallel to longitudinal axis 50of device 10. This right-most coupling structure is spaced apart fromthe depicted device end by at least one device opening or more; inparticular, by at least three device openings (device openings 45 havebeen outlined elsewhere in the figure to show that such openings (alsocharacterizable as mesh openings) are defined by strand crossings and,in particular, four strand crossings except for the end-most rows ofdevice openings, which are defined by only three strand crossings (thus,all the device openings of the version of device 100 shown in thisfigure are defined by at least three strand crossings)). Furthermore,this right-most coupling structure forms the fourth strand crossing 30along line 40 from the depicted device end, and is positioned beneath astrand of device 10 that crosses over it. Each of the other couplingstructures 20 is likewise positioned beneath a strand of device 10 thatcrosses over it. Prior to the securing, the strand ends to which a givencoupling structure is secured may be cut (as necessary) so as to besubstantially centered beneath the strand that will pass over thatcoupling structure; consequently, the coupling structure will besubstantially centered at the crossing it, in part, defines, as is trueof the coupling structures 20 shown in FIGS. 3-4B.

The coupling structures that are used (for stents, the number ofcoupling structures will preferably equal the number of strands) may beaxially aligned as are coupling structures 20 shown in FIGS. 3, 4A, and4B and in FIGS. 6 and 7, or they may be spaced apart from each otheraxially and positioned around the circumference of the device, as arecoupling structures 20 shown in FIGS. 8 and 9. The cutter used to cutthe strand ends may be an Erem® cutter Model 576TX (carbide cutter) or503ETST (oblique head carbide cutter), which are available from CooperHand Tools (Cooper Industries, LLC). Given the small size of the device,a microscope may be employed during the strand end cutting and couplingstructure placement.

Examples of coupling structures for joining or coupling two strand ends,which can be of different strands or the same strand, and examplearrangements of strand end portions secured by them are shown in FIGS.10A-10C. FIG. 10A shows coupling structure 20 secured to strand endportions 12 and 14 in a butt joint or butt configuration; as a result ofthis arrangement, strand end portions 12 and 14 are substantiallyaligned with each other. Coupling structure 20 is secured to strand endportion 12 by a weld that forms a first welded region 22 and to strandend portion 14 by a weld that forms a second welded region 24. As shown,first welded region 22 is not connected to second welded region 24 byanother welded region; the two welded regions are spaced apart from eachand separate. Furthermore, the two strand end portions shown in thisfigure are not in direct contact with each other (there is a slight gapbetween their ends), though in other embodiments they are in directcontact with each other. The version of coupling structure 20 shown inFIG. 10A has a passageway that exists prior to the coupling structurebeing secured to either of the strand end portions, and the passagewayis sized to receive one device strand.

FIG. 10B shows coupling structure 20 secured to strand end portions 12and 14 in lap joint or lap configuration; this configuration also may becharacterized as overlapping. As a result, the two strand end portionsare positioned beside each other rather than end-to-end. Though there isa small gap shown between them in this embodiment, in other embodimentsthere is direct side-to-side contact between them. The two weldedregions 22 and 24 share the same characteristics as those in the FIG.10A embodiment: they are not connected to each other by another weldedregion; they are spaced apart from each and separate. Although the weldsthat produced the two welded regions illustrated schematically in FIG.10B are directed to only one strand end portion, each, they could bothalso be applied to both strand end portions, as were the welds thatproduced the welded regions shown in, for example, FIG. 6. The versionof coupling structure 20 shown in FIG. 10B has a passageway that existsprior to the coupling structure being secured to either of the strandend portions, and the passageway is sized to receive two device strands.

FIG. 10C shows another embodiment of one of the present couplingstructures, coupling structure 20′, which is secured to first strand endportion 12 and to second strand end portion 14 by two welds that formfirst and second welded regions 22 and 24. Coupling structure 20′ doesnot have a passageway; instead, it is configured as a portion of atubular structure (e.g., as a strip with an arc, though in otherembodiments the strip is flat).

FIG. 11A is a schematic representation showing that the couplingstructures 20 for a given device can be axially aligned. FIG. 11B showsthey can be helically arranged, which is one way of offsetting themaxially and circumferentially (such as at 60 degree intervals) from eachother.

For woven stents made from nitinol wires (such as those that include56.0 percent nickel by weight of the total composition and titanium asthe balance of the total composition), coupling structures made from thesame type of nitinol (such as 55.8 percent nickel by weight of the totalcomposition and titanium as the balance of the total composition) can beused to couple the ends of different strands using laser welding, suchas pulsed laser welding. An example of a suitable laser welding systemis shown in FIG. 12, and includes a LASAG pulsed Nd:YAG(Neodymium:Yttrium Aluminum Garnet) “EasyWelder” laser system from theSLS 200 series (Lasag, Switzerland).

For a stent made from six nitinol wires (nickel—56.0 percent by weightof the total composition; titanium—balance of the total composition),six nitinol coupling structures (nickel—55.8 percent by weight of thetotal composition; titanium—balance of the total composition) may beused. The table in FIG. 13 provides example inner diameter, outerdiameter and length dimensions of nitinol coupling structures that canbe used for a given diameter nitinol wire size of a given size ofsix-strand woven stent, and further provides example settings for theLASAG welding system identified above (scfh stands for cubic feet perhour under standard conditions).

The following is a brief description of how coupling structures aresecured to the pairs of wire end portions of a heat-treated (accordingto the technique described above), six-wire woven nitinol stent througha process that is at least partially automated (and in other embodimentsfully automated) using the LASAG welding system described above:

-   -   the stent has been partially braided back (e.g., by hand),        meaning that six of the 12 wire ends are braided back into the        stent;    -   starting at any suitable wire crossing (e.g., the fourth or        fifth wire crossing from the end that has been braided back),        the wire ends are cut as described above such that the ends of        the wires come into contact under the crossing wire;    -   the coupling structures are loaded onto the wire ends and        centered about the crossing wire while on a mandrel so that the        internal diameter of the stent is accurately set;    -   the coupling region of the stent is secured to the mandrel with        a spring loaded clip to prevent relative motion between the        stent and mandrel, to accurately set the internal diameter of        the stent, and to maintain the proper placement of the wire end        portions within the coupling structures;    -   the mandrel mounted and secured stent is then placed in the        laser welding system and the first coupling structure is aligned        with the horizontal crosshair on the view screen of the system;    -   the welding program for the size of stent to be welded (examples        provided below) is invoked; and    -   the operator is prompted to align the crosshairs with the        upper-left corner of the coupling. Once aligned, the operator        presses the start button and the left weld bead is created. The        system then moves and prompts the operator to align the        crosshairs to the upper-right corner. Once aligned, the operator        presses the start button and the right weld bead is created. The        system then moves to the upper-left corner of the second        coupling and the process is repeated. This continues until all        12 welds are completed.

Dimensions for welded region 24 of a given coupling structure 20 of oneof the present devices (specifically, a woven stent such as those shownin FIGS. 1-4B) are depicted in FIG. 14A and example values for thosedimensions are set forth in FIG. 14B. Table 2 below provides examplevalues for the dimensions of a tubular coupling structure correspondingto the “Coupling Structure Code” set forth in FIG. 14B:

TABLE 2 Coupling Coupling Coupling Structure Coupling StructureStructure Structure Code Inner Dia. (in.) Outer Dia. (in.) Length (in.)−01 0.0070 0.0100 0.070 −02 0.0070 0.0100 0.080 −03 0.0075 0.0105 0.100−04 0.0085 0.0120 0.120 −05 0.0085 0.0120 0.150Unless otherwise set forth, the tolerances for the values in FIG. 14Bare as follows: X.=+1; .X=±0.5; .XX=±0.25; .XXX=±0.125. Unless otherwiseset forth, the tolerances for the values in Table 2 are as follows:.X=±0.030; .XX=±0.010; .XXX=±0.005.

Thus, taking the first row of FIG. 14B as an example, a given stent withan internal diameter of 4.0 mm and a length of 40 mm made from nitinolwires (such as those described above) having 0.006 inch diameters couldbe made with tubular coupling structures (code −01) that each have aninternal diameter of 0.0070 inches, an outer diameter of 0.0100 inches,and a length of 0.070 inches, with dimensions A, B, and C of the weldedregion produced by a laser weld that secures that coupling structure toone of the specified wires having the dimensions of A=0.010 inches,B=0.005 inches, and C=0.010 inches.

The following routines written in industry-standard NC (numerical code)can be used to program the LASAG welding system identified above for usein creating butt-coupled joints using the coupling structures describedabove for the various sizes of nitinol stents (formed from using thenickel-titanium mixture described above) recited before each routine:

4 mm ID Stent ; 4 mm Stent Welding Program M61; Laser Remote Control ;Welding Parameters C101 Q10; FREQUENCY 10 HZ C102 Q0.25; PULSE LENGTH0.25 ms C108 Q200; Peak Power 200 W C111 Q120; A-Scale 120 M51; MONITORLASER OK

; Move Laser to common work place

G90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

Z-2.656; Adjust Focus

; Weld six couplings

M26 H152; Reset Door M98 P2; Goto Subroutine 1—1st Coupling

F4; Fast Feed for inter moveX-.040 Y.037; Move back to relative 0,0

M98 P2; Goto Subroutine 1—2nd Coupling

F4; Fast Feed for inter moveX-.040 Y.037; Move back to relative 0,0

M98 P2; Goto Subroutine 1-3rd Coupling

F4; Fast Feed for inter moveX-.040Y.037; Move back to relative 0,0

M98 P2; Goto Subroutine 1-4th Coupling

F4; Fast Feed for inter moveX-.040 Y.037; Move back to relative 0,0

M98 P2; Goto Subroutine 1-5th Coupling

F4; Fast Feed for inter moveX-.040 Y.037; Move back to relative 0,0

M98 P2; Goto Subroutine 1-6th Coupling

; Go Back to common work place

G90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

M25 H152; Open Door M02; End of NC ; /*------End of Program------*/ ;Coupling Weld Subroutine O2; Welding Routine F1; Feed Rate

G05Q1; Jog with Pause/Move to Upper Left Corner

G91; Incremental Coordinates M8; Gas On

G4F.5; Dwell for 0.5 secondsX0.008 Y-.004; Offset from corner of couplingM71; Laser Processing with Sync. feedX0.015; Weld left bead=0.015:M70; Stop laser processing

X0.058 Y.0045; Index to Right Upper Corner

G05Q1; Jog with Pause/Adjust to Upper Right CornerX-0.008 Y-.004; Offset from right corner of couplingM71; Laser Processing with Sync. feedX-0.015; Weld bead=0.015:M70; Stop laser processing

M9; Gas off M99; Return 5 mm ID Stent ; 5 mm Stent Welding Program M61;Laser Remote Control ; Welding Parameters C101 Q10; FREQUENCY 10 HZ C102Q0.25; PULSE LENGTH 0.25 ms C108 Q200; Peak Power 200 W C111 Q120;A-Scale 120 M51; MONITOR LASER OK

; Move to common work place

G90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

Z-2.656; Adjust Focus

; Weld six couplings

M26 H152; Reset Door M98 P2; Goto Subroutine 1-1st Coupling

F4; Fast Feed for inter moveX-.040 Y.041; Move back to relative 0,0

M98 P2; Goto Subroutine 1-2nd Coupling

F4; Fast Feed for inter moveX-.040 Y.041; Move back to relative 0,0

M98 P2; Goto Subroutine 1-3rd Coupling

F4; Fast Feed for inter moveX-.040 Y.041; Move back to relative 0,0

M98 P2; Goto Subroutine 1-4th Coupling

F4; Fast Feed for inter moveX-.040 Y.041; Move back to relative 0,0

M98 P2; Goto Subroutine 1-5th Coupling

F4; Fast Feed for inter moveX-.040 Y.041; Move back to relative 0,0

M98 P2; Goto Subroutine 1-6th Coupling

; Go Back to common work place

G90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

M25 H152; Open Door M02; End of NC ; Coupling Weld Subroutine O2;Welding Routine F1; Feed Rate

G05Q1; Jog with Pause/Move to Upper Left Corner

G91; Incremental Coordinates M8; Gas On

G4F.5; Dwell for 0.5 secondsX0.010 Y-.004; Offset from corner of couplingM71; Laser Processing with Sync. feedX0.015; Weld left bead=0.015:M70; Stop laser processing

X0.055 Y.0045; Index to Right Upper Corner

G05Q1; Jog with Pause/Adjust to Upper Right CornerX-0.010 Y-.004; Offset from right corner of couplingM71; Laser Processing with Sync. feedX-0.015; Weld bead=0.015:M70; Stop laser processing

M9; Gas off M99; Return 6 mm ID Stent ; 6 mm Stent Welding Program M61;Laser Remote Control ; Welding Parameters C101 Q10; FREQUENCY 10 HZ C102Q0.3; PULSE LENGTH 0.3 ms C108 Q300; Peak Power 200 W C111 Q100; A-Scale100 M51; MONITOR LASER OK

; Move to common work place

G90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

Z-2.6716; Adjust Focus

; Weld six couplings

M26 H152; Reset Door M98 P2; Goto Subroutine 1-1st Coupling

F4; Fast Feed for inter moveX-.060 Y.045; Move back to relative 0,0

M98 P2; Goto Subroutine 1-2nd Coupling

F4; Fast Feed for inter moveX-.060 Y.045; Move back to relative 0,0

M98 P2; Goto Subroutine 1-3rd Coupling

F4; Fast Feed for inter moveX-.060 Y.045; Move back to relative 0,0

M98 P2; Goto Subroutine 1-4th Coupling

F4; Fast Feed for inter moveX-.060 Y.045; Move back to relative 0,0

M98 P2; Goto Subroutine 1-5th Coupling

F4; Fast Feed for inter moveX-.060 Y.045; Move back to relative 0,0

M98 P2; Goto Subroutine 1-6th Coupling

; Go Back to Common work place

G90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

M25 H152; Open Door M02; End of NC ; Coupling Weld Subroutine O2;Welding Routine F1; Feed Rate

G05Q1; Jog with Pause/Move to Upper Left Corner

G91; Incremental Coordinates M8; Gas On

G4F.5; Dwell for 0.5 secondsX0.010 Y-.005; Offset from corner of couplingM71; Laser Processing with Sync. feedX0.015; Weld left bead=0.015:M70; Stop laser processing

X0.075 Y.005; Index to Right Upper Corner

G05Q1; Jog with Pause/Adjust to Upper Right CornerX-0.010 Y-.005; Offset from right corner of couplingM71; Laser Processing with Sync. feedX-0.015; Weld bead=0.015:M70; Stop laser processing

M9; Gas off M99; Return 7 mm ID Stent ; 7 mm Stent Welding Program M61;Laser Remote Control ; Welding Parameters C101 Q10; FREQUENCY 10 HZ C102Q0.3; PULSE LENGTH 0.3 ms C108 Q300; Peak Power 200 W C111 Q100; A-Scale100 M51; MONITOR LASER OK

; Move to common work place

G90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

Z-2.6716; Adjust Focus

; Weld six couplings

M26 H152; Reset Door M98 P2; Goto Subroutine 1-1st Coupling

F4; Fast Feed for inter moveX-.060 Y.049; Move back to relative 0,0

M98 P2; Goto Subroutine 1-2nd Coupling

F4; Fast Feed for inter moveX-.060 Y.049; Move back to relative 0,0

M98 P2; Goto Subroutine 1-3rd Coupling

F4; Fast Feed for inter moveX-.060 Y.049; Move back to relative 0,0

M98 P2; Goto Subroutine 1-4th Coupling

F4; Fast Feed for inter moveX-.060 Y.049; Move back to relative 0,0

M98 P2; Goto Subroutine 1-5th Coupling

F4; Fast Feed for inter moveX-.060 Y.049; Move back to relative 0,0

M98 P2; Goto Subroutine 1-6th Coupling ; Go Back to Common Work PlaceG90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

M25 H152; Open Door M02; End of NC ; Coupling Weld Subroutine O2;Welding Routine F1; Feed Rate

G05Q1; Jog with Pause/Move to Upper Left Corner

G91; Incremental Coordinates M8; Gas On

G4F.5; Dwell for 0.5 secondsX0.010 Y-.005; Offset from corner of couplingM71; Laser Processing with Sync. feedX0.015; Weld left bead=0.015:M70; Stop laser processing

X0.075 Y.005; Index to Right Upper Corner

G05Q1; Jog with Pause/Adjust to Upper Right CornerX-0.010 Y-.005; Offset from right corner of couplingM71; Laser Processing with Sync. feedX-0.015; Weld bead=0.015:M70; Stop laser processing

M9; Gas off M99; Return 8 mm ID Stent ; 8 mm Stent Welding Program M61;Laser Remote Control ; Welding Parameters C101 Q10; FREQUENCY 10 HZ C102Q0.3; PULSE LENGTH 0.3 ms C108 Q300; Peak Power 200 W C111 Q100; A-Scale100 M51; MONITOR LASER OK

; Move to common work place

G90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

Z-2.6544; Adjust Focus ; Weld six Couplings M26 H152; Reset Door M98 P2;Goto Subroutine 1-1st Coupling

F4; Fast Feed for inter moveX-.067 Y.053; Move back to relative 0,0

M98 P2; Goto Subroutine 1-2nd Coupling

F4; Fast Feed for inter moveX-.067 Y.053; Move back to relative 0,0

M98 P2; Goto Subroutine 1-3rd Coupling

F4; Fast Feed for inter moveX-.067 Y.053; Move back to relative 0,0

M98 P2; Goto Subroutine 1-4th Coupling

F4; Fast Feed for inter moveX-.067 Y.053; Move back to relative 0,0

M98 P2; Goto Subroutine 1-5th Coupling

F4; Fast Feed for inter moveX-.067 Y.053; Move back to relative 0,0

M98 P2; Goto Subroutine 1-6th Coupling ; Go Back to Common Work PlaceG90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

M25 H152; Open Door M02; End of NC ; Coupling Weld Subroutine O2;Welding Routine F1; Feed Rate

G05Q1; Jog with Pause/Move to Upper Left Corner

G91; Incremental Coordinates M8; Gas On

G4F.5; Dwell for 0.5 secondsX0.010 Y-.006; Offset from corner of couplingM71; Laser Processing with Sync. feedX0.015; Weld left bead=0.015:M70; Stop laser processing

X0.095 Y.006; Index to Right Upper Corner

G05Q1; Jog with Pause/Adjust to Upper Right CornerX-0.010 Y-.006; Offset from right corner of couplingM71; Laser Processing with Sync. feedX-0.015; Weld bead=0.015:M70; Stop laser processing

M9; Gas off M99; Return 9 mm ID Stent ; 9 mm Stent Welding Program M61;Laser Remote Control ; Welding Parameters C101 Q10; FREQUENCY 10 HZ C102Q0.3; PULSE LENGTH 0.3 ms C108 Q300; Peak Power 200 W C111 Q100; A-Scale100 M51; MONITOR LASER OK

; Move to common work place

G90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

Z-2.6716; Adjust Focus ; Weld six Couplings M26 H152; Reset Door M98 P2;Goto Subroutine 1-1st Coupling

F4; Fast Feed for inter moveX-.067 Y.057; Move back to relative 0,0

M98 P2; Goto Subroutine 1-2nd Coupling

F4; Fast Feed for inter moveX-.067 Y.057; Move back to relative 0,0

M98 P2; Goto Subroutine 1-3rd Coupling

F4; Fast Feed for inter moveX-.067 Y.057; Move back to relative 0,0

M98 P2; Goto Subroutine 1-4th Coupling

F4; Fast Feed for inter moveX-.067 Y.057; Move back to relative 0,0

M98 P2; Goto Subroutine 1-5th Coupling

F4; Fast Feed for inter moveX-.067 Y.057; Move back to relative 0,0

M98 P2; Goto Subroutine 1-6th Coupling ; Go Back to Common Work PlaceG90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

M25 H152; Open Door M02; End of NC ; Coupling Weld Subroutine O2;Welding Routine F1; Feed Rate

G05Q1; Jog with Pause/Move to Upper Left Corner

G91; Incremental Coordinates M8; Gas On

G4F.5; Dwell for 0.5 secondsX0.010 Y-.006; Offset from corner of couplingM71; Laser Processing with Sync. feedX0.015; Weld left bead=0.015:M70; Stop laser processing

X0.095 Y.006; Index to Right Upper Corner

G05Q1; Jog with Pause/Adjust to Upper Right CornerX-0.010 Y-.006; Offset from right corner of couplingM71; Laser Processing with Sync. feedX-0.015; Weld bead=0.015:M70; Stop laser processing

M9; Gas off M99; Return 10 mm ID Stent ; 10 mm Stent Welding ProgramM61; Laser Remote Control ; Welding Parameters C101 Q10; FREQUENCY 10 HZC102 Q0.3; PULSE LENGTH 0.3 ms C108 Q300; Peak Power 200 W C111 Q100;A-Scale 100 M51; MONITOR LASER OK

; Move to common work place

G90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

Z-2.6716; Adjust Focus ; Weld six Couplings M26 H152; Reset Door M98 P2;Goto Subroutine 1-1st Coupling

F4; Fast Feed for inter moveX-.067 Y.061; Move back to relative 0,0

M98 P2; Goto Subroutine 1-2nd Coupling

F4; Fast Feed for inter moveX-.067 Y.061; Move back to relative 0,0

M98 P2; Goto Subroutine 1-3rd Coupling

F4; Fast Feed for inter moveX-.067 Y.061; Move back to relative 0,0

M98 P2; Goto Subroutine 1-4th Coupling

F4; Fast Feed for inter moveX-.067 Y.061; Move back to relative 0,0

M98 P2; Goto Subroutine 1-5th Coupling

F4; Fast Feed for inter moveX-.067 Y.061; Move back to relative 0,0

M98 P2; Goto Subroutine 1-6th Coupling ; Go Back to Common Work PlaceG90; Absolute Coordinate F50; Feed Rate

X3.93 Y-4.6; Locate fixture and part

M25 H152; Open Door M02; End of NC ; Coupling Weld Subroutine O2;Welding Routine F1; Feed Rate

G05Q1; Jog with Pause/Move to Upper Left Corner

G91; Incremental Coordinates M8; Gas On

G4F.5; Dwell for 0.5 secondsX0.010 Y-.006; Offset from corner of couplingM71; Laser Processing with Sync. feedX0.015; Weld left bead=0.015:M70; Stop laser processing

X0.095 Y.006; Index to Right Upper Corner

G05Q1; Jog with Pause/Adjust to Upper Right CornerX-0.010 Y-.006; Offset from right corner of couplingM71; Laser Processing with Sync. feedX-0.015; Weld bead=0.015:M70; Stop laser processing

M9; Gas off M99; Return

It should be understood that the present methods and the devices theyproduce are not intended to be limited to the particular formsdisclosed. Rather, they are to cover all modifications, equivalents, andalternatives falling within the scope of the claims. For example, whilethe devices illustrated in the figures have been woven from multiplestrands, in other embodiments, the present methods could be applied todevices woven or otherwise created from only a single strand of material(such as a nitinol wire). Further, while stents have been shown in thefigures, other devices suited for placement in an anatomical structure,such as filters and occluders, could have their free strand ends joinedaccording to the present methods.

The claims are not to be interpreted as including means-plus- orstep-plus-function limitations, unless such a limitation is explicitlyrecited in a given claim using the phrase(s) “means for” or “step for,”respectively.

1-24. (canceled)
 25. A self-expanding stent comprising: a single strandincluding a strand portion on both sides of a strand bend, each of thestrand portions having an end, the strand portions being woven in afirst direction to form a tubular body, the strand portions being backbraided in a second direction by at least two strand crossings, whereinthe strand portion ends are secured together to form a joint assembly,the joint assembly being spaced apart from each end of the tubular body;and wherein a crossing strand portion crosses over the joint assembly ata position radially outward from the joint assembly.
 26. The stent ofclaim 25, wherein the strand portion ends are secured together bywelding.
 27. The device of claim 25, wherein the strand portion ends aresecured together by soldering.
 28. The device of claim 25, wherein thestrand portion ends are secured together by braising.
 29. The stent ofclaim 25, wherein the strand portion ends are aligned end-to-end. 30.The stent of claim 25, wherein each of the strand portion ends is weldedto a coupling structure.
 31. The stent of claim 25, wherein the strandscomprise Nitinol.
 32. A device configured for insertion into ananatomical structure, the device comprising: one or more strands, eachstrand comprising a pair of strand end portions: a joint assemblycomprising two different strand end portions; wherein the two differentstrand end portions include nickel and titanium, and wherein the jointassembly is positioned beneath one strand of the device that crossesover the joint assembly.
 33. The device of claim 32, wherein the twodifferent strand end portions are aligned end-to-end.
 34. The device ofclaim 32, wherein the two different strand end portions are placed in aside-by-side relationship.
 35. The device of claim 32, wherein the jointassembly is substantially centered beneath the one strand that crossesover that joint assembly.
 36. The device of claim 32, wherein the one ormore strands is one strand.
 37. The device of claim 32, wherein the oneor more strands are woven to form a self-expanding stent.
 38. The deviceof claim 32, wherein the device comprises two or more device ends,wherein each device end is defined by strand bends, and the strand bendsof all the device ends have a similar shape.
 39. The device of claim 32,wherein the device comprises at least two device ends and a longitudinalaxis, and wherein the joint assembly is nearer to one of the device endsthan any other device end.
 40. The device of claim 32, wherein the jointassembly is spaced apart from a nearest device end by at least onestrand crossing.
 41. The device of claim 32, wherein the joint assemblyis spaced apart from a nearest device end by at least two strandcrossings.
 42. The device of claim 32, wherein the joint assembly isspaced apart from a nearest device end by at least three strandcrossings.
 43. The device of claim 32, wherein the joint assembly isspaced apart from a nearest device end by at least four strandcrossings.
 44. The device of claim 32, wherein the joint assembly isspaced apart from a nearest device end by at least five strandcrossings.
 45. The device of claim 32, wherein the joint assembly isformed by laser welding.
 46. The device of claim 32, wherein the jointassembly is formed by electron beam welding.
 47. The device of claim 32,wherein the joint assembly is formed by resistance welding.
 48. Thedevice of claim 32, wherein the joint assembly is formed by tungsteninert gas welding.
 49. The device of claim 32, wherein the jointassembly is formed by metal inert gas welding.
 50. The device of claim32, wherein the joint assembly is formed by crimping.
 51. The device ofclaim 32, wherein the joint assembly is formed by soldering.
 52. Thedevice of claim 32, wherein the joint assembly is formed by braising.53. The device of claim 32, wherein the joint assembly is formed bygluing.
 54. The device of claim 32, wherein the joint assembly comprisesa coupling structure secured to the two different strand end portions,and wherein the coupling structure is not a strand of the device. 55.The device of claim 54, where the coupling structure is laser welded toa first strand end portion.
 56. The device of claim 55, wherein thecoupling structure is laser welded to the second strand end portion. 57.The device of claim 54, wherein the coupling structure is secured to thetwo different strand end portions by welding and the same weld isapplied to both strand end portions.
 58. The device of claim 32, whereinthe two strand end portions directly touch each other.
 59. The device ofclaim 32, wherein neither the strand end portions nor the joint assemblyis smoothed after being secured.
 60. The device of claim 32, wherein thejoint assembly has a first length, wherein the device has a secondlength, and wherein the first length of the joint assembly is less than25, 24, 23, 22, 21, 20, 19, 18, 17, 16, 15, 14, 13, 12, 11, 10, 9, 8, 7,6, 5, 4, 3, 2, 1, 0.9, 0.8, 0.7, 0.6, 0.5, 0.4, 0.3, 0.2, or 0.1 percentof the second length of the device.